小儿急性脓胸的外科治疗

Surgical Treatment of Acute Empyema in Children

目的探讨总结开胸治疗小儿急性脓胸的优势。方法总结近6年来(1998年3月～2003年10月)108例小儿急性脓胸开胸治疗的经验。其中男67例,女41例,年龄2.3岁～13岁。结果 108例小儿急性脓胸的患儿全部治愈,无1例复发。术后高热、胸憋、气短、不思饮食、消瘦等临床表现很快得到改善。平均住院日为10天～12天。术后随访0.5年,均未见胸壁塌陷。结论开胸治疗小儿急性脓胸行之有效。

Objective To explore and summarize the advantage of the treatment of acute child pyothorax by opening chest.Methods 108 cases of acute child pyothorax were treated by opening chest from March 1998 to October 2003 (67 males and 41 females,age ranged from2.3-13years).Results All cases were cured without recurrence.The symptoms.such.as.high.fever,respiratory.Insufficiency and anorexia were quickly ameliorated.The mean hospital day was 10～12.The patients had been followed for 6 months after opreation.and.no.cases.suffered chest collapse.Conclusion It is an effective method to treat acute child pyothorax by opening chest treatment.